Transcript The Institute of ENT and Audiology in Zambia (p.24)

The Institute of Ear , Nose and
Throat Surgery and Audiology
Beit Cure Hospital Lusaka Zambia
Alice Kirby
Ann O’Connor
Hannah O’Driscoll
Uta Foeschl
Kieran O’Driscoll
Basic Zambian Facts
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Land – locked country
Approx 12 million pop.
Former Northern Rhodesia
Independent since 1964
Mostly rural but most urbanized in Sub Saharan
Africa
• Democratic and politically stable
• Famous for Victoria Falls and wildlife
Core Health
Indicator
Zambia
UK
Physicians
(number)
Physicians
(density/ 1000
population)
Nurses
(density/ 1000
population)
1,264
133,641
0.1
2.3
1.5
12.1
Total population
Life expectancy at
birth M/F (years)
Probability of dying
under five (per
1000 live births)
% population living
below poverty line
< $1/day
UK
Zambia
59,668,000
11,657,000
77 / 81
40 / 40
6
182
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64
African Health Issues
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HIV
Malaria
TB
Surgery as a public health Issue
Organisational Issues leading to specialty
crises – burden of acute and chronic suffering
Recent WHO perspective on Surgery
• 11 – 13 % of world health burden is surgical
• Surgery is public health issue
• Surgery in developing countries is
underfunded
• ENT surgery must be regarded as public health
issue in context of retuning people back into
the work force and children back into the
classroom
Zambian ENT Services
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Based only in (UTH)
4 Doctors in 2004
Now 2 – 3 doctors
No Audiologist
No peripheral clinic in
2004
• Now 1 clinic in Ndola
ENT Zambian Trust Fund
The ENT Zambian Crisis
The Zambian ENT Crisis
The ENT Zambian Crisis
Summary of Findings Mar ‘04
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Under equipped
Under-funded
Under- trained
No leadership
Ear issues – mortality/morbidity/ Deafness
Head neck issues - late diagnosis
What Needed To be Done
• Supply equipment
• Support Training
• Financed short term
locums for ENT Surgeons
• Financed Anaesthetic/
Audiological/ Nursing
locums
Partnerships/Collaborations up to
2006 and beyond!
Local Partnerships
Equipment
Christian Blind Mission
Metronics
Local E.N.T Surgeons
Eurosurgical
University Teaching Hospital
Technosurgical
Lusaka Eye Hospital
Irish Funding
Integrated Community Groups
Rotary Tullamore
SMA Fathers
Electric Aid (E.S.B)
Sisters of Mercy
Gorta
Individual Irish Donors
Donations from Irish Hospitals
Tullamore General Hospital
Hearing Aids
Royal Victorian Eye and Ear Hospital
Dublin
Amplifon
St.Francis Hospital Mullingar
Audiology Techno
Bonvox
What To Do Next
Central Hub Development
Peripheral Contact ( ? Mobile Clinic)
Sustainable ENT Service
Partnerships /Collaborations – Keys to
success
Hospital Partners
Zambian Government
CURE International
BEIT Trust
Financial
Partners
ENT Partners
ENT Zambia
Irish Aid
GORTA
BMZ Germany
Christian Blind
Mission
Education
Partnerships
University of Zambia
COSECA
RCSI
ENT MOBILE CLINIC
ACTIVITY IN THE LAST 6
MONTHS
ACTIVITY
PATIENT NUMBERS
Microscopic Ear
Examination
1488
Nasendoscopic
Evaluations
765
Audiological
Assessments
1400
Hearing Aid Fitting
200